Organization Active NPI

Schimmel Orthodontic Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bronx, NY
National Provider Identifier
1760733570
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
24184 Issued in NY
Legal business name
SCHIMMEL ORTHODONTIC ASSOCIATES
Practice address
3265 Johnson Ave
Suite 104
Bronx, NY 10463-3539
Phone
(718) 548-4768
Fax
(718) 543-0594
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sanford Schimmel, D.D.S
Title
Partner
Phone
(718) 548-4768

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 24184 NY Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 050286 NY

Addresses

Primary practice location

3265 Johnson Ave
Suite 104
Bronx, NY 10463-3539

Mailing address

3265 Johnson Ave
Suite 104
Bronx, NY 10463-3539
Phone (718) 548-4768

Other identifiers 2

IdentifierTypeStateIssuer
02768963MedicaidNY
02139119MedicaidNY

National Provider Directory

National Provider Directory

Locations

3265 Johnson Ave
Ste 104
Bronx, NY 10463
Phone (718) 548-4768

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1760733570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE",
            "address_2": "SUITE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "718-548-4768",
            "fax_number": "718-543-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE",
            "address_2": "SUITE 104",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "718-548-4768",
            "fax_number": "718-543-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHIMMEL ORTHODONTIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "SCHIMMEL",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "718-548-4768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "24184",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02768963",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02139119",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.